Individual
DR. CHARLES HOUSTON TEATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2851 CARROLLTON PIKE, SUITE A-1, WOODLAWN, VA 24381-3668
(276) 236-0400
(276) 236-0400
Mailing address
2851 CARROLLTON PIKE, SUITE A-1, WOODLAWN, VA 24381-3668
(276) 236-0400
(276) 236-0400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000913
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
VA
Enumeration date
09/14/2006
Last updated
08/02/2011
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